GRANT JORDAN WAGGONER

DANA POINT, CA
NPI1346911450
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  125452)
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
Mr. GRANT JORDAN WAGGONER LMFT
24632 SAN JUAN AVE STE 110
DANA POINT, CA 92629-3830
Phone number: 702-533-8324
Mailing Address
Mr. GRANT JORDAN WAGGONER LMFT
25412 COACH SPRINGS LN
LAGUNA HILLS, CA 92653-5861
Phone number: 702-533-8324
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